A nurse is preparing to transport a patient with active tuberculosis (TB) to another department for a diagnostic procedure. Which of the following infection control precautions should the nurse implement?
Have the nurse wear an N95 respirator during transport.
Use a standard wheelchair with no additional precautions.
Have the patient wear a surgical mask during transport.
Place the patient in a negative-pressure isolation room during transport
The Correct Answer is C
A. Have the nurse wear an N95 respirator during transport. While the nurse should wear an N95 respirator when providing direct care to a patient with TB in a hospital room, the focus during transport is on preventing airborne transmission from the patient to others.
B. Use a standard wheelchair with no additional precautions. Standard precautions are not sufficient for airborne diseases like TB. Without proper precautions, the patient may spread Mycobacterium tuberculosis to others during transport.
C. Have the patient wear a surgical mask during transport. A surgical mask on the patient helps contain respiratory droplets and prevents the spread of TB during transport. This is the standard precaution for transporting patients with airborne infections.
D. Place the patient in a negative-pressure isolation room during transport. Negative-pressure isolation rooms are used for patients while they are in the hospital room, not during transport. Negative pressure cannot be maintained in an open environment.
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Related Questions
Correct Answer is D
Explanation
A. “I should turn my toes inward when lying down.” Internal rotation of the hip increases the risk of dislocation and should be avoided.
B. “I can bend my hip more than 90 degrees when sitting in a chair.” Flexing the hip beyond 90 degrees increases dislocation risk and should be avoided.
C. “I should cross my legs when sitting to improve circulation." Crossing the legs can lead to hip adduction and dislocation. Instead, legs should remain apart.
D. “I should use an abduction pillow between my legs while in bed.” An abduction pillow keeps the legs in proper alignment and prevents dislocation by maintaining slight abduction.
Correct Answer is B
Explanation
A. "I should eat more red meats and seafood to help strengthen my joints." Red meats and seafood are high in purines, which increase uric acid levels and can trigger gout attacks. Patients should limit their intake of these foods.
B. "I need to drink plenty of water and limit alcohol consumption to reduce uric acid buildup." Staying hydrated helps flush excess uric acid from the body, and reducing alcohol consumption, especially beer and spirits, can help prevent flare-ups.
C. "Taking aspirin regularly will help lower my risk of future gout attacks." Aspirin can increase uric acid levels and may worsen gout symptoms. Patients should consult their provider before using aspirin regularly.
D. "Dairy products and high-fat foods will help prevent uric acid accumulation." While low-fat dairy products may help reduce uric acid levels, high-fat foods do not provide the same benefit and may contribute to weight gain, which is a risk factor for gout.
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